Individual
BENJAMIN TODD NIVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3580 ARCADE ST STE 150, VADNAIS HEIGHTS, MN 55127-7135
(651) 968-5600
(651) 968-5781
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5200
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12409
MN
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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